Evidence map›Paper›PMID 39085468›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Comparison of femoral neck system versus cannulated cancellous screws for the fixation of femoral neck fracture: a single-center retrospective cohort study.

A Caldaria, E Gambuti, N Biagi, E Spadoni, A Saracco, L Massari, G Caruso

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Complications and risk factors after internal fixation of femoral neck fractures in young and middle-aged patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

A CaldariaDepartment of Orthopedic and Trauma Surgery, San Pietro Fatebenefratelli Hospital, 00189, Rome, Italy.
E GambutiDepartment of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy.ORCID http://orcid.org/0000-0002-5114-2303
N BiagiHenley Business School, Business Informatics System and Accounting, Information Research Centre, University of Reading, Reading, UK.
E SpadoniDepartment of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy.
A SaraccoDepartment of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy.
L MassariDepartment of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy.
G CarusoDepartment of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy. crsgtn@unife.it.ORCID http://orcid.org/0000-0002-6665-5283

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe dynamic hip screw (DHS) and cannulated compression screws (CCS) have been the two implants most frequently employed for the fixation of femoral neck fractures. The objective of this study is to compare clinical and radiographic outcomes between patients treated with the FNS and those treated with CCS. MATERIAL AND

methodsWe conducted a retrospective analysis of a consecutive series of femoral neck fractures treated with FNS or CCS between May 2019 and June 2022. The study included 144 patients who met the inclusion criteria. Collected data encompassed age, sex, Garden fracture classification, Pauwels classification, duration of surgery, length of hospital stays, Harris Hip Score (HHS), complications, and injured side.

resultsThe FNS group comprised 70 patients, while the CCS group consisted of 74 patients. The operation time was 43.6 ± 12.09 min for the FNS group and 56.47 ± 22.42 min for the CCS group. At the end of the follow-up, the mean HHS was 87.07 ± 11.77 for the FNS group and 76.20 ± 13.64 for the CCS group. The mean reduction in hemoglobin levels from pre- to post-surgery was 1.05 mg/dl in the FNS group and 0.87 mg/dl in the CCS group. The reintervention rate was 8.1% for the CCS group and 2.85% for the FNS group.

conclusionThe FNS does not demonstrate superiority over CCS regarding femoral neck shortening, complication rate, and reduction in hemoglobin levels. However, FNS does appear superior to CCS in terms HHS, operation time, and reoperation rate.

Indexed as

Bone ScrewsFemoral Neck FracturesFracture Fixation, InternalOperative TimeAdultAgedFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeCannulated cancellous screwsFemoral neck fractureFemoral neck systemInternal fixation

Identifiers

PMID39085468
PMCPMC11377608

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.